Name *

First Name

Last Name

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Address

Address 1

Address 2

City

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In the event that you should need to reschedule, please let Dana know as soon as possible. If Dana feels the need to reschedule due to weather, she will contact you and provide you with several options. *

Please check to confirm that you have read and understand.

As per Canadian copyright law, the copyright of all images remains with Dana Pugh Photography. Should you purchase the digital files, this comes with a copyright release that allows you to use the photographs for your own personal use. You may print products for yourself or your family as gifts, but you cannot sell the images for commercial purposes. Should you need to use the images for another purpose, please confirm with Dana before going ahead. *

Please check to confirm that you have read and understand.

MODEL RELEASE: From time to time, Dana uses the images in her portfolio, on her website and to promote herself within the industry. By checking the box below, you are giving her permission to use the images in this manner. Should she wish to use the images in any other way, she will contact you to clarify. *

Check this box to provide permission for Dana to use the images in promotion as she sees fit.

The payment of the session fee and the submission of this form confirms your spot in Dana's schedule. Once the session has been completed, Dana will send you an online gallery of the fully edited images available for you to download. This gallery will be available for 30 days. All images will be stored for a guaranteed period of one year from your session date. *

Please check to confirm that you have read and understand.